| NPI | 1144651720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9845) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036537) |
| 225100000X Physical Therapist (Licence: TX 1236703) | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |